SUSAN WANG MD
NPI 1962152652
Pediatrics in Los Angeles, CA

Active since March 25, 2022PECOS Enrolled
2020 ZONAL AVE STE 613, LOS ANGELES, CA 90089(323) 409-3737(323) 441-4764 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Susan Wang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN WANG MD (NPI 1962152652) is an individual pediatrics provider in Los Angeles, California, licensed in California (A202718) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2022).

NPPES Registry Identity

NPI1962152652
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN WANGCredential: MD
Location Address2020 ZONAL AVE STE 613Los Angeles, CA 90089-0121
Mailing Address2020 Zonal Ave Ste 613Los Angeles, CA 90089-0121 · (323) 409-3737 · Fax (323) 441-4764
Fax(323) 441-4764
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2022
Enumeration DateMarch 25, 2022
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1962152652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A202718
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2020 ZONAL AVE STE 613, Los Angeles, CA 90089

Secondary Practice Locations 2

Location 1207 S Santa Anita St Ste 335San Gabriel, CA 91776-1160 · Phone (760) 941-4444 · Fax (858) 332-1811
Location 21850 S Azusa Ave Ste 206Hacienda Heights, CA 91745-6853 · Phone (626) 810-5450 · Fax (858) 332-1811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Wang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456815943
PECOS Enrollment IDI20260715003435
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Wang's NPI number?

The NPI number for Susan Wang is 1962152652. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Susan Wang located?

Susan Wang practices at 2020 Zonal Ave Ste 613, Los Angeles, CA 90089. The listed phone number is (323) 409-3737.

What is Susan Wang's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Wang enrolled in Medicare?

Yes. Susan Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Wang was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.